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Titolo:
TOBACCO AND CHILDREN - AN ECONOMIC-EVALUATION OF THE MEDICAL EFFECTS OF PARENTAL SMOKING
Autore:
ALIGNE CA; STODDARD JJ;
Indirizzi:
ROCHESTER GEN HOSP,DEPT PEDIAT,1425 PORTLAND AVE,MED OFF BLDG,SUITE 300 ROCHESTER NY 14621 UNIV WISCONSIN,SCH MED,DEPT PEDIAT MADISON WI 00000
Titolo Testata:
Archives of pediatrics & adolescent medicine
fascicolo: 7, volume: 151, anno: 1997,
pagine: 648 - 653
SICI:
1072-4710(1997)151:7<648:TAC-AE>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFANT-DEATH-SYNDROME; PASSIVE SMOKING; OTITIS-MEDIA; ATTRIBUTABLE RISK; MATERNAL SMOKING; CHILDHOOD ASTHMA; COST-BENEFIT; EFFUSION; HEALTH; PREGNANCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
71
Recensione:
Indirizzi per estratti:
Citazione:
C.A. Aligne e J.J. Stoddard, "TOBACCO AND CHILDREN - AN ECONOMIC-EVALUATION OF THE MEDICAL EFFECTS OF PARENTAL SMOKING", Archives of pediatrics & adolescent medicine, 151(7), 1997, pp. 648-653

Abstract

Objective: To determine the economic influence of pediatric disease attributable to parental smoking. Data Sources: Computerized bibliographic databases were searched. Subject headings included asthma, burn, cost, low birth weight, otitis media, respiratory syncytial virus bronchiolitis, sudden infant death syndrome, and tobacco smoke pollution. The following constraints were applied to the published articles we studied: publication time, January 1980 through May 1996; age range of children studied, neonate to 18 years; and written in English. Articles used specifically as references for cost issues were limited to studies performed in the United States. Data Extraction: This study is a literature synthesis, which uses as its primary source the results of previously published best estimates. This is not a meta-analysis of studies analyzing the relationships between childhood disease and smoking. Results: Using data for relative risk, prevalence, and cost of illnessand death, we calculated the attributable risk fraction and corresponding direct medical expenditures and costs for loss of life. Costs areadjusted to 1993 dollars. Estimated annual excess cases of childhood illness and death attributable to parental smoking include low birth weight (46 000 cases, 2800 perinatal deaths), sudden infant death syndrome (2000 deaths), respiratory syncytial virus bronchiolitis (22 000 hospitalizations, 1100 deaths), acute otitis media (3.4 million outpatient visits), otitis media with effusion (110 000 tympanostomies), asthma (1.8 million outpatient visits, 14 deaths), and fire-related injuries (10 000 outpatient visits, 590 hospitalizations, and 750 deaths). Conclusions: Parental smelting is an important preventable cause of morbidity and mortality among American children; it results in annual direct medical expenditures of $4.6 billion and loss of life costs of $8.2 billion. Additional efforts to reduce children's exposure to tobaccosmoke are warranted.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 06:20:29